Active NPI
En-Su Lin, MD
- Anesthesiology Physician
- Camden, NJ
National Provider Identifier
1821170242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA043987
- Practice address
- 1 Cooper PLZ
Cooper Anesthesia Associates
Camden, NJ 08103-1461 - Phone
- (856) 342-2919
- Fax
- (856) 968-8239
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA043987 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Cooper Anesthesia Associates
Camden, NJ 08103-1461
Mailing address
1 Federal St
Ste Sw200
Camden, NJ 08103-1155
Phone (856) 968-7433
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0942075 | Other | NJ | CIGNA |
| 0396918000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| 2565966 | Other | NJ | UNITED HEALTH |
| 575254 | Other | NJ | AMERIHEALTH PPO/PA BS |
| 60017291 | Other | NJ | HORIZON NJ HEALTH |
| 3754618 | Other | NJ | AETNA |
| 42322 | Other | NJ | UNIVERSITY HEALTH PLAN |
| 3754631 | Other | NJ | AETNA |
| P3722591 | Other | NJ | OXFORD |
| 010007170 | Other | NJ | AMERICHOICE |
| 3590801 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA043987 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Health System Emergency Physician Services P a | Past | Accepting new patients | |
| Hudson Anesthesiology Services, LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Hoboken, NJ
- NPI 1316978414
-
- Emergency Medicine Physician
- Elmer, NJ
- NPI 1306871314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1821170242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST",
"address_2": "STE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031155",
"telephone_number": "856-968-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"address_2": "COOPER ANESTHESIA ASSOCIATES",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2919",
"fax_number": "856-968-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "EN-SU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA043987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0942075",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/IBC",
"identifier": "0396918000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "2565966",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO/PA BS",
"identifier": "575254",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60017291",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3754618",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLAN",
"identifier": "42322",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3754631",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3722591",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "010007170",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3590801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.